Checking vitals and doing blood sugars, logically, should be nursing responsibilities because it is solely within our scope to act upon them should they be abnormal. Same goes for the EKGs and phlebotomy, kind of. I'd be fine if the only care our UAP provided was turning, helping with ADLs, bathing, and running to different departments if needed. Maybe if there weren't as many complete assists in our census, which is rare for us, I'd understand expanded workloads for them. However, I find it difficult to get some of them to fulfill their job descriptions regularly.
I work on a monitored unit, so unless the patient removes their BP cuff or chest leads themselves, all our signs are uploaded automatically from the monitor to the EMR q2hr. Our UAP make sure the equipment is applied and the signs are uploaded, they take the temps and monitor blood sugars, perform EKGs and phlebotomy for labs, answer call bells, turn patients, help perform ADLs, bath patients and sometimes act as runners down to the pharmacy/lab/blood bank. In writing it looks like the spirit of Florence is blessing us with these angels that are our UAP to do so much for us, but in reality I'd say about half of it gets done (the easy half at that).
Personally I think on a floor such as the one I work, calling UAP double clicking something in our charting "taking vital signs" is too much. I love our UAP as people, but such a luxury would make anybody a little lazy, and that's what it does. Now even our turns aren't getting done, moves aren't being made to have patients bathed, and requests to go to the lab or draw some blood are met with attitude. They take hour long breaks (while I work through the night only to eat my untouched food in the car ride home) and are constantly gabbing on the floor when there's stuff that needs to be done.
These are grown, sentient beings - not robots - when does the "needs to be delegated" curve meet the "this is your job description so do it" curve? My response? Like somebody above said, just do the care yourself. Cuz in the end that's the only person you can truly trust and rely on. I used to be UAP at my hospital and found the workload challenging at times. I'd see the other UAP effortlessly going about their business and wondered "when will I be that good?" Well now I know it's not like that at all.